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General NPI Number Information
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NPI Number | 1003754474
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Entity Type | Organization
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Legal Business Name | INDUSTRIAL MUSCULOSKELETAL EVALUATIONS LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 1850 S WATERMAN AVE STE C
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-2852
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Country | US
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Telephone | 909-479-3699
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Fax |
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Provider Business Mailing Address
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Address Line | 1636 W ROOSEVELT AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-3101
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Country | US
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Telephone | 424-214-8068
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Fax |
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Authorized Official
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Title or Position | LEAD EXAMINER
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Name | DR. XAVIER S ORTIZ RAMIREZ
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Credential | DC, QME, CME
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Telephone | 424-214-8068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number |
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License Number State |
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